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FFamily-Member Variant of Directory Observed Therapy Short Course (DOTS) in Current Pulmonary Tuberculosis (PTB) Management: A Way Out in Resource-Constrained Settings – A Case Report

Terhemen Joseph Igbudu, Livinus Egwuda, Tsav Peter Mbaave.

Abstract
Appreciation of patients’ family dynamics may be very crucial in deciding the appropriate treat-ment option aimed at reducing treatment failures and drug re-sistance in the management of pulmonary tuberculosis espe-cially in the resource-constrained settings.
We reported a case of a 62 year old retiree with pulmonary tu-berculosis who had financial challenges and was successfully treated using the family-member variant of DOTS. This modality of treatment was easi-ly accepted and eventually ad-dressed some of the financial challenges the patient had.
Family-member variant of DOTS was successfully demon-strated in the management of PTB and was seen to have re-duced the variable cost of treatment, distortion of family dynamics and enhanced family harmony.

Key words: Pulmonary tuberculosis, family-member DOTS, family dynamics, resource-constrained setting



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